Individual provider Active NPI

Dan T. Noerenberg, D.C.

  • Orthopedic Chiropractor
  • Elgin, IL
National Provider Identifier
1417007196
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Practice address
953 N Liberty St
Elgin, IL 60120-3061
Phone
(847) 695-0220
Fax
(847) 695-9565
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X IL Primary

Addresses

Primary practice location

953 N Liberty St
Elgin, IL 60120-3061

Mailing address

953 N Liberty St
Elgin, IL 60120-3061
Phone (847) 695-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000150 IL Practitioner - Chiropractic 6406813096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

953 N Liberty St
Elgin, IL 60120-3061
Phone (847) 695-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038006220ILMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Clinic, Inc. Orthopedic CurrentSince Dec 17, 1997 Accepting new patients

Locations

953 N Liberty St
Elgin, IL 60120
Phone (847) 695-0220

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417007196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 N LIBERTY ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203061",
            "telephone_number": "847-695-0220",
            "fax_number": "847-695-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 N LIBERTY ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203061",
            "telephone_number": "847-695-0220",
            "fax_number": "847-695-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOERENBERG",
        "first_name": "DAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.